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Tadalafil, a Cialis derivative, is the ingredient in the tablet known as Tadalista 40 mg, which is meant to be used to treat erectile dysfunction.  This tablet should be taken with water 20 to 30 minutes prior to having sex. This medication has long-lasting effects, so you should take it as prescribed by your physician. cheap Tadalistamedication can be taken with or without food. Take Tadalista as is. Never chew, split, break, or crush it. This medication should not be taken more than once every 24 hours.